PAGOSA PEAK FAMILY DENTISTRY, PLLC
NPI 1184377392
Clinic/Center - Dental in Pagosa Springs, CO

Active since January 28, 2022
228 VILLAGE DR, PAGOSA SPRINGS, CO 81147(216) 374-5693 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pagosa Peak Family Dentistry, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAGOSA PEAK FAMILY DENTISTRY, PLLC (NPI 1184377392) is a healthcare organization registered as a dental in Pagosa Springs, Colorado and active in the NPI registry since January 2022. The organization lists Peter Roukema, President, as its authorized official.

NPPES Registry Identity

NPI1184377392
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePAGOSA PEAK FAMILY DENTISTRY, PLLC
Location Address228 VILLAGE DRPagosa Springs, CO 81147-8308
Mailing Address115 Harebell DrPagosa Springs, CO 81147-7721 · (216) 374-5693
Organization SubpartNo
Authorized OfficialPeter RoukemaPresident · (216) 374-5693
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
NPI 1184377392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
228 VILLAGE DR, Pagosa Springs, CO 81147

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Dentist (General Practice)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Dentist (General Practice)
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147
Dentist
228 VILLAGE DR
PAGOSA SPRINGS, CO 81147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pagosa Peak Family Dentistry, PLLC's NPI number?

The NPI number for Pagosa Peak Family Dentistry, PLLC is 1184377392. It was assigned to this organization in the NPPES registry on January 28, 2022.

Where is Pagosa Peak Family Dentistry, PLLC located?

Pagosa Peak Family Dentistry, PLLC is located at 228 Village Dr, Pagosa Springs, CO 81147. The listed phone number is (216) 374-5693.

What is Pagosa Peak Family Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pagosa Peak Family Dentistry, PLLC was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.